Zhan Yiqiang, Chen Ruoqing, Yu Jinming
Institute of Clinical Epidemiology, School of Public Health, Fudan University, Shanghai, PR China.
Institute of Clinical Epidemiology, School of Public Health, Fudan University, Shanghai, PR China.
Sleep Med. 2014 Jul;15(7):833-9. doi: 10.1016/j.sleep.2014.02.006. Epub 2014 Apr 1.
To examine the associations between sleep duration and total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), apolipoprotein B (ApoB), apolipoprotein A1 (ApoA1), and lipoprotein (a) [Lp(a)].
The present study analyzed 8574 adults from the China Health and Nutrition Survey (2009). Sleep duration was classified into < or = 6, 7, 8, 9, and > or = 10 h. Age, education, occupation, current smoking, current drinking, physical activity, body mass index, hypertension, and diabetes were adjusted as confounders in gender-stratified multiple logistic regression models.
Compared with women reporting 8h sleep duration, the odds ratios (ORs) and 95% confidence intervals (CIs) of high TC for those with < or = 6, 7, 9, and > or = 10 h were 1.65 (1.32-2.06), 1.19 (1.00-1.43), 1.11 (0.89-1.39), and 1.27 (1.02-1.60) after adjusting for confounders. Likewise, the ORs (95% CIs) of high LDL-C were 1.71 (1.28-2.29), 1.36 (1.05-1.76), 1.04 (0.74-1.46), and 1.09 (0.78-1.53), whereas those of high ApoB were 1.80 (1.34-2.42), 1.15 (0.88-1.52), 0.95 (0.66-1.35), and 1.00 (0.70-1.43) for women with < or = 6, 7, 9, and > or = 10 h sleep duration, respectively. These associations were not statistically significant in men.
Both shorter and longer sleep durations were associated with higher risks of abnormal serum lipid profiles in women but not in men.
研究睡眠时间与总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、载脂蛋白B(ApoB)、载脂蛋白A1(ApoA1)及脂蛋白(a)[Lp(a)]之间的关联。
本研究分析了中国健康与营养调查(2009年)中的8574名成年人。睡眠时间分为≤6、7、8、9及≥10小时。在按性别分层的多因素logistic回归模型中,将年龄、教育程度、职业、当前吸烟状况、当前饮酒状况、身体活动、体重指数、高血压和糖尿病作为混杂因素进行校正。
在校正混杂因素后,与报告睡眠时间为8小时的女性相比,睡眠时间≤6、7、9及≥10小时的女性,其高TC的比值比(OR)及95%置信区间(CI)分别为1.65(1.32 - 2.06)、1.19(1.00 - 1.43)、1.11(0.89 - 1.39)及1.27(1.02 - 1.60)。同样,睡眠时间≤6、7、9及≥10小时的女性,其高LDL-C的OR(95%CI)分别为1.71(1.28 - 2.29)、1.36(1.05 - 1.76)、1.04(0.74 - 1.46)及1.09(0.78 - 1.53),而高ApoB的OR分别为1.80(1.34 - 2.42)、1.15(0.88 - 1.52)、0.95(0.66 - 1.35)及1.00(0.70 - 1.43)。这些关联在男性中无统计学意义。
睡眠时间过短和过长均与女性血清脂质异常风险较高相关,而与男性无关。